ABSTRACT
Aortopulmonary paraganglioma is a rare tumor of the mediastinum. The only effective treatment is complete resection, which may pose a surgical challenge because of its proximity to the heart, great vessels, and trachea, often rendering a complete resection difficult to achieve. We report a case in which the tumor was excised under cardiopulmonary bypass and resulted in massive bleeding only controlled by means of packing the pleural cavity during 48 hours, known as damage control strategy. The patient survived and has been disease-free for 2 years.
Subject(s)
Aorta, Thoracic/surgery , Aortic Diseases/surgery , Mediastinal Diseases/surgery , Paraganglioma/surgery , Pulmonary Artery/surgery , Vascular Neoplasms/surgery , Aorta, Thoracic/diagnostic imaging , Aorta, Thoracic/pathology , Aortic Diseases/diagnostic imaging , Aortic Diseases/pathology , Biopsy , Cardiopulmonary Bypass , Female , Follow-Up Studies , Hemostasis, Surgical , Humans , Mediastinal Diseases/diagnostic imaging , Mediastinal Diseases/pathology , Middle Aged , Neoplasm Invasiveness , Neovascularization, Pathologic/diagnostic imaging , Neovascularization, Pathologic/pathology , Neovascularization, Pathologic/surgery , Paraganglioma/diagnostic imaging , Paraganglioma/pathology , Pulmonary Artery/diagnostic imaging , Pulmonary Artery/pathology , Tomography, X-Ray Computed , Vascular Neoplasms/diagnostic imaging , Vascular Neoplasms/pathologyABSTRACT
Traqueostomia é um dos procedimentos cirúrgicos mais antigos e a indicação mais comum para sua realização é a necessidade de ventilação mecânica prolongada devido a insuficência ventilatória. Está relacionada com complicaçöes em seis a sessenta e seis por cento dos casos, e as complicaçöes devidas a cânula de traqueostomia são bastante incomuns. Um caso de obstrução do brônquio principal esquerdo pela extremidade da cânula de traqueostomia é relatado. As características clínicas do evento, com atelectasia do pulmão esquerdo após a traqueostomia levando ao diagnóstico são apresentadas. É feita uma revisão dos tipos de complicaçöes observadas pela cânula de traqueostomia. Nós chamamos atenção para esta rara, porém, importante comolicação com risco de vida.